Medimez Ultrasound

12.06.2026
Illustrative hyperechoic lesions in abdominal organs(Spotters)
Hepatic haemangioma
Splenic haemangioma
Renal angiomyolipoma.

09.06.2026
Learning from own mistake
Woman 75 years presented with intermittent painless haematuria.
Both kidneys were normal. Urinary bladder (image 1) is apparently normal, No stone or mass. I thought it to be normal. Bladder volume is more than 200ml.
Attendent asked, "Sir, Is it cancer". Before answering I considered revision. Asked her to drink more water, hold urine.
Repeat USG with more full bladder(image 2) showed at least three polyps along right posterior wall. 🤔
In the image 1, the right wall was hidden under the gas shadows of the intestine.
USG/Imaging done in a hurry may lead to errors of omission.

07.06.2026
Woman 50 years came with vague pain right lower quadrant of the abdomen with an ill defined lump. Uterus was removed twenty years ago. Status of oophorectomy not known.
USG showed a large intra abdominal mass with vague outline. Mass has hypoechoic periphery and scattered echogenic areas--gut sign. Echogenic omentum is anteriorly. This is gut, small intestinal mass with thickened wall. There is no ascites or lymphadenopathy.
Findings favour small intestinal mass with high possibility of GIST, Gastro Intestinal Stromal Tumour.

02.06.2026
USG Images of early pregnancy approx 8 weeks.
A suspected focal lesion about 2.5 cms D seen in the anterior myometrium along urinary bladder interface,raising possibility of a fibroid. Umbilical cord (doppler) inserting into the anterofundal placenta is clearly seen.
Patient was rescanned after twenty minutes, the nodule like area has moved away to posterior myometrium. This is myometrial contraction mimicking fibroid. After some time it may disappear.

02.06.2026
Male, 50 years has developed a small swelling in the right popliteal fossa after his right leg was twisted while riding bike two weeks back. It is painful and tender.
USG showed a cystic swelling with superficial and deep components mimicking 'Speech bubble' sign. The beak of the cyst is reaching knee joint..
Some debris seen in cyst.
This is classical appearance of a Baker's cyst.

31.05.2026
Spotter
Woman, thirty years has a small, movable nodule, 2.0*1.0cms in right breast 11,o clock position.
USG showed well defined focal hypoechoic lesion, with regular outline, low internal vascularity, and wider than taller dimensions. It moved with probe pressure.
Diagnosis in comment.

23.05.2026
Male 50 years had a small 1-2 cms nodule on left back. The nodule has a black dot at center, Punctum.
USG showed an oval hypoechoic subcutaneous lesion with posterior acoustic shadow(sign of the cyst) . Finding consistent with Sebaceous cyst.
In contrast Neuro fibroma is generally hyperechoic.
Streaky pattern in the image of the Sebaceous cyst is camera artefact.

08.05.2026
Illustrative case
Woman 40 yrs has undergone surgery for hernia repair in the infra umbilical longitudinal LSCS (LONGITUDINAL SECTION CAESARIAN SCAR), with MESH Implantation.
USG in transverse section shows a shadow in the surgical area, caused by the mesh, which itself is not visible.
In longitudinal section layers of the skin, subcutaneous fat, striations of mesh, very thin muscle and then gut are visible.
No collection around the mesh or it's distortion found.

GBM 3
07.05.2026
Middle aged woman came with pain abdomen and jaundice.
USG shows mild dilatation of intrahepatic biliary radicles in both lobes of liver. Gallbladder shows a movable stone gallbladder wall is thickened posterity towards fundus and neck.
Common bile duct is solid looking due to infiltration. In this case neoplastic thickening of GB wall has infiltrated CBD in early stage. It has similarity to Klatskin tumor which primarily is in CBD at junction with cystic duct.
There is minimal ascites.
Stone in GB that was seen initially at neck, moved away on upright posture.